Article Detail

Home > Article Detail
  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

The Effects of LI4, TE3, TE5 and LI11 Moxibustion on Radial Artery Blood Flow and Heart Rate Variability in Stoke Patients with Hemiplegia

Journal of Korean Medicine / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2011, v.32 no.5, pp.50-65


















  • Downloaded
  • Viewed

Abstract

Objectives: Moxibustion has been used for various post-stroke symptoms and has also been known to have effect on peripheral blood flow. This study investigated the effect of moxibustion on radial artery blood flow by Doppler ultrasound and on heart rate variability in post-stroke hemiplegia patients. Methods: Moxibustion was applied on the points of LI4, TE3, TE5 and LI11 on the affected side, and blood flow of the radial artery was measured using the Minimax-Doppler-K device. Blood flow velocity and pulsation index were analyzed before, during, and after moxibustion. Simultaneously LF, HF, and LF/HF as variables for HRV were measured by FM-150. Results: The mean value of blood flow velocity in all patients (n=23) showed significant increase between before and after moxibustion, but there was no significant difference in pulsation index and LF, HF, LF/HF ratio between before and after moxibustion. In Yin (n=9) and Yang (n=14) groups, both showed significant increase of blood flow velocity between before and after moxibustion, but there was no significant difference in pulsation index and LF,HF, LF/HF ratio between before and after moxibustion. In Deficiency (n=14) and Fullness (n=9) groups, only the Deficiency group showed significant increase of blood flow velocity between before and after moxibustion, while the Fullness group showed no significant difference in blood flow velocity between before and after moxibustion, and also there was no significant difference in pulsation index and LF, HF, LF/HF ratio between before and after moxibustion. Conclusions: This study suggests that moxibustion on LI4, TE3, TE5 and LI11 on the affected side of stroke patients increase the peripheral blood flow in the affected arm, which was most remarkable in those with Yin and Deficiency pattern.

keywords
Doppler ultrasound, heart rate variability, blood flow, moxibustion, stroke, hemiplegia


Reference

1

1. 김영석, 문상관, 박성욱, 한창호. 임상중풍학. 제2 판. 도서출판 정담. 2007:6

2

2. Park YC, Chae JS, Eom JY, Son SS, Choe IS. Thermographic Study on the Effects of Deep Acupuncture at Hapkok(LI4) in Cerebrovascular Hemiplegia. The Journal of Korean Acupuncture & Moxibustion Society. 2003;20(4):134-44.

3

3. Lee SH, Lee YH. Clinical Study with Thermography on Shoulder Hand Syndrome after Stroke. The Journal of Korean Oriental Medical Society. 1997:18(1);25-39.

4

4. Choi YS, Kim TK, Jung WS, Moon SK, Lee KS. Effects of Moxibustion on the Edematous Hand in Hemiplegic Patients. Korean J Orient Int Med. 2003:spr;93-103.

5

5. Choi YS, Kim TK, Jung WS, Moon SK. Effects of Moxibustion on the Hemiplegic Upper Extremity After Stroke. Korean J Orient Int Med. 2003:24(2);283-9.

6

6. Woo HS, Lee YH, Kim CC. The Review and Study Trend of Moxibustion. The Journal of Korean Acupuncture & Moxibustion Society. 2002;19(4):1-15

7

7. Lee SH, Kim JK, Son YH, Jeong HY, Kim JH, Kwon JN, et al. A Clinical Study of Moxibustion Therapy's Effect on Functional Recovery in Hemiplegia on Stroke. Korean J Orient Int Med. 2008:29(1);278-84.

8

8. Lee SH, Kim JK, Son YH, Jeong HY, Kim YK, Kwon JN. The Clinical Study of Moxibustion Therapy Effect on Functional Recovery in Stroke Patients. Korean J Orient Int Med. 2008:fal;243- 50.

9

9. Cho NG. Effect of Acupuncture and Moxibustion Treatment at the K1 on the Blood Pressure and Regional Cerebral Blood Flow. The Journal of Korean Acupuncture & Moxibustion Society. 1998;15(2):227-36

10

10. Hwang WJ, Yang KP. The Study on The Effects of Moxibustion on Peripheral Blood Circulation. The Journal of Korean Oriental Medical Society. 1997:18(1);499-505.

11

11. Sung KK, Hwang CY, Lee SK, Lee SY, Cheong SS, Kang SY, et al. The Clinical Effect of High Voltage AC Field Therapy(HEALTHTRON) on Peripheral Circulatory Disturbance and Functional Outcome of Rehabilitaion in CVA Patients. Korean Journal of Oriental Physiology & Pathology. 2002:16(3);609-15.

12

12. Middlekauff HR, Nguyen AH, Negrao CE, Nitzsche EU, Hoh CK, Natterson BA, et al. Impact of Acute Mental Stress on Sympathetic Nerve Activity and Regional Blood Flow in Advanced Heart Failure: Implications for ‘Triggering’ Adverse Cardiac Events. Circulation. 1997;96 (6): 1835-42.

13

13. Lim SK, Lee SH, Bae YM. Clinical Observation on Heart Rate Variability and Peripheral Blood Flow by Doppler Ultrasound in Healthy Subjects Stimulated by Cold Stress. The Journal of Korean Oriental Medical Society. 2010;31(2); 114-23

14

14. 대한침구학회 교재편찬위원회. 침구학. 제2판. 집문당. 2008:하;158

15

15. Kim LH. A Clinical Reaearch Study of Moxibustion on Stroke Patients. Dissertation of Wonkwang Unviersity. 2011.

16

16. 테라사와 카츠토시. 증례로 배우는 동서의학. 제 1판. 군자출판사. 2005;140, 150.

17

17. 사망원인통계, 2010, Available at: URL:http:// meta.kosis.kr/bzmt/main.jsp?surv_id=19&curYe ar=2010. Accessde May 11, 2011

18

18. Olszewski WL. Lymphstasis : Pathology, Diagnosis and Treatment. Florida, CRC press. 2000.

19

19. Seo YS. Flow Velocity Changes of Carotid, Axillary, Brachial and Radial Artery after Stellate Ganglion Block. The Korean Journal of Pain. 1995;8(1):55-9.

20

20. Han SM, Lee SC. The Change of Blood Flow Velocity of Radial Artery after Linear Polarized Infrared Light Radiation near the Stellate Ganglion: Comparing with the Stellate Ganglion Block. The Korean Journal of Pain. 2001;14(1): 37-40.

21

21. Park JS, Lee JH. Effects of Interferential Current Stimulation on the Peripheral Blood Velocity in Healthy Subjects. The Journal of Korean Society of Physical Theraphy. 1999;11(2):37-42.

22

22. Petrofsky J, Schwab E, LoE T, Cuneo M, Lawson D. The Thermal Effect on the Blood Flow Response to Electriacl Stimulation. Med Sci Monit. 2007:13(11);498-504

23

23. Moon SK., et al. Antispastic Effect Electroacupuncture and Moxibustion in Stroke Patients. AJCM. 2003;31(3):467-74,

24

24. Sandner-Kieslin A, Litscher G, Voit-Augusti H, James RL, Schwarz G. Laser Doppler Flowmetry in Combined Needle Acupuncture and Moxibustion: A Pilot Atudy in Healthy Adults. Lasers Med Sci 2001;16(3):184-91

25

25. Chiba A, Nakanishi H, Chichibu S. Thermal and Antiradical Properties of Indirect Moxibustion. Am J Chin Med 1997;25(3-4):218-87

26

26. Yamashita H, Ichiman Y, Tanno Y. Changes in Peripheral Lymphocyte Subpopulations After Direct Moxibustion. Am J Chin Med. 2001;29 (2):227-35

27

27. Kim DH, Kim KT, Park YJ, Park YB. The Effect of Moxibustion on Subject's Heart Rate Variabillity. The Journal of The Korea Institute of Oriental Medical Diagnostics. 2004;8(2):105- 13

28

28. Cho SY, Jang JY, Kim SJ, Nam SS, Kim YS. Effect of PC6 Moxibustion for Mental Stress on Short-term Analysis of Heart Rate Variability. The Journal of Korean Acupuncture & Moxibustion Society. 2010;27(2):51-8

29

29. Kim HS, Ahn KH, Lee JH, Kim EG, Yoon DH, Kim JS, et al. Assessment of Soft Tissue Blood Flow in Hemiplegic Patients with Type of Complex Regional Pain Syndrome by Power Doppler Sonography. Department of Rehabilitation Medicine, Kyung-Hee University, College of Medicine. 2007;23(1):36-41.

30

30. 임종국. 애구 생체반응의 문헌적 고찰. 대한한의 학회지. 1976;13(1):63-68

상단으로 이동

Journal of Korean Medicine